50D2083305 CLIA NUMBER - PILCHUCK DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2083305
  • Facility Name: PILCHUCK DIALYSIS
  • Facility Address: 1250 STATE AVE
    MARYSVILLE, WA
    ZIP 98270
  • Facility Phone: 360 651-0780
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NOEMIE JUAIRE
  • NPI Number: 1740696848
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2083305
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PILCHUCK DIALYSIS
Street 1250 STATE AVE
City MARYSVILLE
State WA
ZIP 98270
Phone 360 651-0780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2014
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NOEMIE JUAIRE

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This page was last updated on: 9/29/2025